MADDISON RAE MAXEDON APRN
NPI 1629862982
Nurse Practitioner in Mt Zion, IL

Active since April 09, 2025PECOS EnrolledAccepts Medicare Assignment
104 E ASHLAND AVE, MT ZION, IL 62549(217) 864-2665 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maddison Rae Maxedon Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADDISON RAE MAXEDON APRN (NPI 1629862982) is an individual nurse practitioner in Mt Zion, Illinois, licensed in Illinois (209.032157) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629862982
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMADDISON RAE MAXEDONCredential: APRN
Location Address104 E ASHLAND AVEMt Zion, IL 62549-1271
Mailing Address104 E Ashland AveMt Zion, IL 62549-1271
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 9, 2025
NPPES CertifiedApril 9, 2025
NPI 1629862982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IL · 209.032157
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
104 E ASHLAND AVE, Mt Zion, IL 62549

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Maddison Rae Maxedon Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305345521
PECOS Enrollment IDI20250815001342
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

St Marys Hospital

Acute Care Hospitals · Decatur, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140166
Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62549 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
104 E ASHLAND AVE
MT ZION, IL 62549
Registered Nurse (Orthopedic)
104 E ASHLAND AVE
MOUNT ZION, IL 62549
Nurse Practitioner
104 E ASHLAND AVE
MT ZION, IL 62549
Durable Medical Equipment & Medical Supplies
104 E ASHLAND AVE
MT ZION, IL 62549
Durable Medical Equipment & Medical Supplies
104 E ASHLAND AVE
MT ZION, IL 62549
Registered Nurse (Registered Nurse First Assistant)
104 E ASHLAND AVE
MT ZION, IL 62549
Physical Therapist
104 E ASHLAND AVE
MT ZION, IL 62549
Non-Pharmacy Dispensing Site
104 E ASHLAND AVE
MT ZION, IL 62549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maddison Maxedon's NPI number?

The NPI number for Maddison Maxedon is 1629862982. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Where is Maddison Maxedon located?

Maddison Maxedon practices at 104 E Ashland Ave, Mt Zion, IL 62549. The listed phone number is (217) 864-2665.

What is Maddison Maxedon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Maddison Maxedon enrolled in Medicare?

Yes. Maddison Maxedon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Maddison Maxedon affiliated with any hospitals?

According to CMS data, Maddison Maxedon is affiliated with Decatur Memorial Hospital and St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Maddison Maxedon was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.